Transcript Design and implementation of a web-based patient portal linked to

Design and implementation of a web-based
patient portal linked to an electronic health
record designed to improve medication safety:
the Patient Gateway medications module
Informatics in Primary Care 2008
Outline
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Introduction
Study setting
Discussion
Long-term evaluation plan
Conclusion
Introduction
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The causes of ambulatory ADEs and undertreatment
 Medication discrepancies
 Non-adherence
 Inadequate monitoring and follow-up
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A Portal linked to an EHR has the potential to help
address many medication safety and quality issues.
Study setting
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The type, duration and confidence in the symptom being
related to that medication are elicited.
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For physician view
 Medications Module fit into workflow.
 Concise overview of the information.
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Patient’s medication journal is displayed in medications
screen.
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Medication Module also allows for verification of allergy
information.
Short-term evaluation
Discussion
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20% of eligible patients consented to be in the study.
Users tended to be white and less impoverished
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Important lessons
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Mix of free text, structured data fields within patient
interface.
 Integrating the application with clinicians’ workflow.
 Document medication and allergy within one application.
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Long-term evaluation plan
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Studying the impact of the Medications Module on patient
outcomes.
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Clinical outcomes to be evaluated include
 ADEs
 Medication list accuracy
 Self-reported medication adherence
Conclusion
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Integration of this kind of intervention into a patient
portal represents a novel and potentially powerful
way to reduce ADEs and medication discrepancies.